58R-21846-45533
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 077 / NJ
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Dose 1 — Moderna
-
2021-08-20
Registered in v-safe
-
2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Elevated heart rateMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-08-22
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-09-02
- 2021-09-09
-
2021-09-16
Survey response — day 28, dose 1MedDRA: Pre-existing disease, Pregnancy, Tachycardia — Feeling: GoodFree text: This started before the vaccine but has become more frequent since - my heart is randomly racing (tachycardia). My OB is sending me to the cardiologist. Currently 31 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Dose 2 — Moderna
- 2021-09-23
- 2021-09-24
- 2021-10-01
-
2021-10-08
Survey response — day 21, dose 2MedDRA: Tachycardia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: TachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2021-10-13
Call successfulDoes not wish to fill out VAERS report
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-12-17
- 2022-03-18
- 2022-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-08 | Successful 2021-10-13 |
Does not wish to fill out VAERS report |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Elevated heart rate
Release 9 — day 28, dose 1
Symptoms: This started before the vaccine but has become more frequent since - my heart is randomly racing (tachycardia). My OB is sending me to the cardiologist. Currently 31 weeks pregnant.
Release 10 — day 21, dose 2
Symptoms: Tachycardia
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release